Nu102 - Pharma Quiz 4 Fakey

Front 1

Used to treat status asthmaticus (severe asthma that cannot be controlled with typical medications)

Back 1

Xanthines

Front 2

Administer cautiously to the elderly b/c of potential for increased sensitivity

Back 2

Xanthines

Front 3

Use cautiously in clients with cardiovascular disorders

Back 3

Xanthines

Front 4

potential for cardiovascular collapse

Back 4

Xanthines

Front 5

food interactions: caffeine

Back 5

Xanthines

Front 6

Assess for toxicity; note symptoms of restlessness, insomnia, irritability, tremors, n/v

Back 6

Xanthines

Front 7

Restlessness is a symptom of toxic reaction; however, it could signal hypoxia, and the nurse should assess client for this

Back 7

Xanthines

Front 8

Do not omit or double-up on doses; take exactly as prescribed

Back 8

Xanthines

Front 9

Notify prescriber if palpitations, n/v, weakness, dizziness, chest pain or convulsions occur

Back 9

Xanthines

Front 10

Beta-andrenergics & Xanthines
What type of meds are these?

Back 10

Bronchidilators

Front 11

May see adverse effect if used too frequently (elevated HR, nausea anxiety, palpitations, and tremors)

Back 11

beta-andrenergics

Front 12

Use with caution in young children and monitor for tremors, restlessness, hallucinations, dizziness, palpitations, tachycardia, gastrointestinal difficulties

Back 12

beta-andrenergics

Front 13

Contraindicated in clients with tachyarrhythmias and severe CAD
(specifically)

Back 13

beta-andrenergics
(Albuterol)

Front 14

Children under 12 should not use certain ones

Back 14

beta-andrenergic inhalants

Front 15

Concurrent use of MAO inhibitors may lead to hypertensive crisis

Back 15

beta-andrenergics

Front 16

Paradoxic bronchospasm and urinary retention

Back 16

beta-andrenergics

Front 17

Monitor elderly clients carefully

Back 17

beta-andrenergics

Front 18

Monitor VS, esp HR and BP when administering

Back 18

beta-andrenergics

Front 19

Ensure proper use of MDI

Back 19

beta-andrenergics

Front 20

Note amount, color, and character of sputum

Back 20

beta-andrenergics

Front 21

Monitor blood glucose level closely in diabetic clients

Back 21

beta-andrenergics

Front 22

Report chest pain, palpitations, seizures, headaches, hallucinations, or blurred vision to prescriber

Back 22

beta-andrenergics

Front 23

Do not take more than the prescribed dose b/c of risk of hypertension, tachycardia, dysrhythmias, and angina

Back 23

beta-andrenergics

Front 24

Avoid eye contact with inhaler spray

Back 24

beta-andrenergics

Front 25

Take medication exactly as ordered; do not double dosage or increase frequency of doses

Back 25

beta-andrenergics

Front 26

Treatment of choice for acute asthma attack

Back 26

beta-andrenergics

Front 27

Stimulation of alpha-adrenergic receptors results in vasoconstriction and increased systemic BP

Back 27

antihypotensives (sympathomimetics)

Front 28

Must be diluted before administration

Back 28

antihypotensives (sympathomimetics)

Front 29

Client should be attended constantly during drug administration

Back 29

antihypotensives (sympathomimetics)

Front 30

Reevaluate if 3-5 treatments in 6-12 hours provide minimal to no relief

Back 30

antihypotensives (sympathomimetics)

Front 31

Carefully monitor VS, ECG, and I&O

Back 31

antihypotensives (sympathomimetics)

Front 32

Monitor for rebound hypertension

Back 32

antihypotensives (sympathomimetics)

Front 33

Constant infusion pump prevents sudden infusion of excessiv amounts of drugs

Back 33

antihypotensives (sympathomimetics)

Front 34

Correct blood volume depletion first

Back 34

antihypotensives (sympathomimetics)

Front 35

Antidote for extravasation: phyentolamine mesylate (Regitine) in NS

Back 35

antihypotensives (sympathomimetics)

Front 36

Protect solution from sunlight

Back 36

antihypotensives (sympathomimetics)

Front 37

incompatible with sodium bicarbonate

Back 37

antihypotensives (sympathomimetics)

Front 38

side effect: sensitivity to light, blurred vision

Back 38

urinary tract anti-infectives

Front 39

Adverse effects: leukopenia, thrombocytopenia, angioedema

Back 39

urinary tract anti-infectives

Front 40

Cranberry juice or vitamin C may be added

Back 40

urinary tract anti-infectives

Front 41

rinse mouth to avoid staining teeth (specifically?)

Back 41

urinary tract anti-infectives
(nitrofurantoin)

Front 42

Drink at least 8 glasses of water daily

Back 42

urinary tract anti-infectives

Front 43

avoid alkalizing fluids such as milk, fruit juice, or sodium bicarbonate; do not take antacids

Back 43

urinary tract anti-infectives

Front 44

use sunscreen

Back 44

urinary tract anti-infectives

Front 45

may discolor urine, not harmful, will turn back after treatment

Back 45

urinary tract anti-infectives

Front 46

contraindications: hypersensitivity to anticholinergics, paralytic ileus, unstable CV status

Back 46

bladder antispasmodics

Front 47

side effects: headache, insomnia, drowsiness, dizziness, confusion, excitement, palpitations, blurred vision, dry mouth, GI distress, urinary hesitancy, urine hesitancy, urine retention, urticaria

Back 47

bladder antispasmodics

Front 48

monitor for CNS manifestations

Back 48

bladder antispasmodics

Front 49

monitor effect of medication

Back 49

bladder antispasmodics

Front 50

may be used with antibiotics and should be discontinued after 2 days of antibiotic use

Back 50

urinary analgesics

Front 51

assess for presence of UTI

Back 51

urinary analgesics

Front 52

drug colors urine red/orange and may stain clothing

Back 52

urinary analgesics

Front 53

do not double dose if dose missed

Back 53

urinary analgesics

Front 54

drug may not be effective for more than 24-48 hour period

Back 54

urinary analgesics

Front 55

notify prescriber if yellowing of eyes

Back 55

urinary analgesics

Front 56

side effects: impotence, decreased volume of ejaculate, decreased libido, asthenia (no shit guys hesitate to take this stuff)

Back 56

BPH meds

Front 57

monitor urine volume

Back 57

BPH meds

Front 58

orthostatic hypotension

Back 58

BPH meds

Front 59

avoid driving, drowsiness and somnolence

Back 59

BPH meds

Front 60

Pregnant, should not handle crushed tables due to risk of adverse effect to male fetus

Back 60

BPH meds (finasteride)

Front 61

Male client, pregnant partner, avoid semen

Back 61

BPH meds

Front 62

IV infusion device

Back 62

Renal failure meds

Front 63

side effects: headache, tachycardia, angina, palpitations, hypotension, bradycardia, vasoconstriction, widening of QRS complex

Back 63

Renal failure meds

Front 64

Hct reach normal levels (30-33%) in 2-3 months

Back 64

Hematopoietic Growth Factor

Front 65

Do not shake solution

Back 65

Hematopoietic Growth Factor

Front 66

Evaluate transferrin and serum ferritin prior to initiation of therapy

Back 66

Hematopoietic Growth Factor

Front 67

side effects: hypertension, headache, seizure, iron deficiency, sweating

Back 67

Hematopoietic Growth Factor

Front 68

blood pressure may rise during early therapy as the Hct increases; notify if greater than 4 points in 2 weeks

Back 68

Hematopoietic Growth Factor

Front 69

Client may require additional heparin during dialysis to prevent clotting of vascular access

Back 69

Hematopoietic Growth Factor

Front 70

self monitor vs, esp. BP

Back 70

Hematopoietic Growth Factor

Front 71

avoid driving, possible seizure activity, esp first 90 days of therapy

Back 71

Hematopoietic Growth Factor

Front 72

client should be instructed to monitor for signs of infection

Back 72

organ rejection meds (cyclosporine, Neoral)

Front 73

grapefruit can raise levels, increasing risk of toxicity

Back 73

organ rejection meds (cyclosporine, Neoral)

Front 74

mix concentrated medication solution with milk, chocolate milk, orange juice

Back 74

organ rejection meds (cyclosporine, Neoral)

Front 75

can cause neutropenia

Back 75

organ rejection meds (azathiprine, Imuran)